| NPI | 1386065365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NM 66067) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-74065) |
| 163WS0200X Registered Nurse School (Licence: NM RN-74065) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2022-04-29 |